Dr Tony Kyungsoo Kim, DC is a
Chiropractor based in Charlestown, Indiana. Dr Tony Kyungsoo Kim is licensed to practice in California (license number DC27102) and his current practice location is
2100 Market St, Suite 100, Charlestown, Indiana. He can be reached at his office (for appointments etc.) via phone at
(502) 244-9859.
NPI number for Dr Tony Kyungsoo Kim is 1952304016 and his current mailing address is 24318 Hemlock Ave, E5, Moreno Valley, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1952304016.
Healthcare Provider's Profile
Full Name | Dr Tony Kyungsoo Kim |
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Gender | Male |
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Speciality | Chiropractor |
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Location | 2100 Market St, Charlestown, Indiana |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1952304016
- Provider Enumeration Date: 05/23/2005
- Last Update Date: 03/28/2016
Medical Identifiers
Medical identifiers for Dr Tony Kyungsoo Kim such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1952304016 | NPI | - | NPPES |
08002884A | Other | IN | INDIANA LICENSE |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
111N00000X | Chiropractor | DC27102 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Tony Kyungsoo Kim is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Tony Kyungsoo Kim, DC 24318 Hemlock Ave, E5, Moreno Valley, CA 92557-7222 Ph: (951) 485-1918 | Dr Tony Kyungsoo Kim, DC 2100 Market St, Suite 100, Charlestown, IN 47111-9535 Ph: (502) 244-9859 |
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